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All Journal JURNAL WIDYA MEDIKA Majalah Obstetri dan Ginekologi Molecular and Cellular Biomedical Sciences (MCBS) Halaman Olahraga Nusantara : Jurnal Ilmu Keolahragaan JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga International Islamic Medical Journal INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Aditiawarman -
Airlangga University
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Journal : JKKI : Jurnal Kedokteran dan Kesehatan Indonesia

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Risks of preterm birth and low Apgar score among preeclamptic women Chiquita Febby Pragitara; Risa Etika; Lilik Herawati; Aditiawarman Aditiawarman
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 1, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss1.art3

Abstract

Background: Preeclampsia has been a major problem for obstetric care in Indonesia due to risks of preterm birth and lower Apgar score. Objective: This study is to examine relationships of preeclampsia, preterm births, and Apgar Score.Methods: This used an analytic study with retrospective case-control design in Dr. Soetomo Academic Hospital. A case group was taken by total sampling from medical records of all patients who had preterm delivery in 2017, and a control group of term deliveries was taken by random sampling. Then the data were analysed by using Chi-square test and Fisher’s Exact Test.Results: There were 80 samples for each group. 63.75% of patients by age of 20-35 years were who delivered preterm birth, 40.00% had normal BMI, 40.00% were nulliparous, 92.50% did not have history of preterm labour, 50.00% had preeclampsia with severe features, and 46.25% had spontaneous vaginal delivery. Around 47.14% neonates from preeclamptic women were born at 32-<37 weeks gestation, 50.00% were born with low birth weight, 52.86% had the first minute Apgar score <7, and 72.86% had the fifth minutes Apgar score =7. The statistical analysis showed a significant relationship between the preeclampsia and the preterm birth (p<0.007; OR=2.54, 95% CI 1.34-4.83). The preeclampsia was also related to lower Apgar score at 1st minute (p<0.042; OR=2.03, 95% CI 1.07-3.85) and 5th minute (p<0.046; OR=2.42, 95% CI 1.08-5.41). Preterm neonates born from preeclamptic mothers were related to lower Apgar score at 1st minute (p<0.002; OR=5.82, 95% CI 1.99-17.02) and 5th minute (p<0.001; OR 17.31, 95% CI 2.15-139.54).Conclusion: Preeclampsia could make pregnant women at risks of delivering preterm birth and neonates with low Apgar score.
Co-Authors Abdullah N Aldika Akbar Aldika M. I Almira Maharani Aryananda R. A Chiquita Febby Pragitara Cininta N. I Dachlan E G Endyka Erye Frety Ernawati Ernawati Fariska Zata Amani Fitri Indah Pratiwi Gumilar K. E Hanifa Erlin Damayanti HERAWATI, LILIK Hermanto T. J I'tishom, Reny Indah Mayang Sari Izzati Dwi Martono Tri Utomo Mita Herdiyantini Mufidah Sheena Andani Prastini Muhammad Ilham Aldika Akbar Nabila Annisa Harum Ninik Darsini Noza Loviana Nurmaliatul Firdaus Prastiya Indra Gunawan Pudji Lestari Risa Etika, Risa Sulistyono A Vebianti Permadi Wahyul Anis Wardhana M. P Wicaksono B Widati Fatmaningrum